TY - JOUR PY - 2001// TI - Severe intoxication with the veterinary tranquilizer xylazine in humans JO - Journal of analytical toxicology A1 - Hoffmann, U. A1 - Meister, C. M. A1 - Golle, K. A1 - Zschiesche, M. SP - 245 EP - 249 VL - 25 IS - 4 N2 - Xylazine (Rompun, Proxylaz) is a veterinary tranquilizing agent. A case of self-injection of 1.5 g xylazine by a 27-year-old farmer is reported. He subsequently became comatose, hypotensive, bradycardic, and mildly glycemic. An intensive supportive therapy including intubation and ventilation was required. The patient made a full recovery over the next 30 h. The largest concentrations measured were 4.6 mg/L in plasma, 446 mg/L in gastric fluid, and 194 mg/L in urine. The calculated plasma half-life was 4.9 h. Kinetic data correlated with clinical symptoms. Qualitative and quantitative analyses of xylazine were done by thin-layer chromatography, gas chromatography-mass spectrometry, and high-performance liquid chromatography. These methods allow the detection of small amounts substance in stomach, plasma, and urine. Liquid-liquid extraction was used for the isolation of drug. The sensitvity is high, and with these methods, a rapid analysis is possible. Xylazine intoxications in humans are rare. We describe the management of acute poisoning and present a review of xylazine toxicity in humans.
Language: en
LA - en SN - 0146-4760 UR - http://dx.doi.org/10.1093/jat/25.4.245 ID - ref1 ER -